Jammu :62 years old female, having stone in gall bladder and a known case of old treated pulmonary tuberculosis..... Patient was having one lung fibrosis as a result of TB and tracheal shift..
Patient is also a known case of Hypertension, T2DM and Hypothyroidism...
So it was a challenging case for both the anaesthetist and surgeon... Laparoscopic Cholecystectomy was successfully performed with gentle low volume ventilation and low intra abdominal CO2 pressure... Patient behaved very well post extubation and maintaining all the parameters nicely..
Team comprising of Dr Barinder Kumar surgeon along with Anaesthetist Dr Pawan Kumar and theatre staff Joginder, Irfan performed this difficult surgery which is almost impossible in Jammu. This was informed by Medical director Maxx LYFE hospital Jammu he said that this patient came from Rajouri was in touch with many Surgeon's & Anaesthesia people in Jammu but in the end the team leader by young Surgeon Dr Barinder Kumar & senior Anaesthetist Dr Pawan took the initiative and perform this challenging surgery